PL-2013-00472.tif i
CITYOF BLAIR
` 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
MAX �� -- > . wilding Permit Application (402) 426 -4191 - Phone
11 (402) 426 -4195 - FAX
PL- 2013 -00472 /Se of Q �� ° www.blairnebraska.org
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10/11/2013 ShellyJ PLUMBING Residential October 11, 2013
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? LOCATIONOFIMPROVEMENT: 1265 Colfax St, Blair, NE 68008
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ARCHITECT:
GENERAL Jetter s Plumbing, Inc.
I OWNER: Emile R Cordle CONTRACTOR: 230 W County Rd "T"
2025 Soren Dr Fremont, NE 68025
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residential
PROJECT NAME PERMIT EXPIRES 10/11/2015
1265ColfaxSt- 130927 - Kitchen and Bathroom 1/1/2014
Remodel ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Replumbing the whole house, one bathroom, one kitchen, one laundry
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
ASign ature Qffi ial_shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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Applicant Date
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